Cervical

Question 1

How many alar ligaments are there and what does it limit

Answer 1

2

Limits flex/ext

Question 2

What is the most mobile articulations of the spine?

Answer 2

C1 and C2

It does flexion extension at 10°, it does side flexion 5°, it does rotation at 50° primary movement

Question 3

Where does the vertebral artery passed through the TVP of the cervical vertebrae

Answer 3

C6 but entering is Haiasi for supplies blood to brain along with internal carotid artery

Question 4

Where’s the greatest flexion and extension in the C SPINE

Answer 4

C5 - C6

Degeneration more likely at these levels along with C4 to C5 and C6 to C7 because of mobility

Question 5

What does couple movement mean?

Answer 5

Meaning movements occurring with each other

Question 6

Resting position for cervical spine

Answer 6

Midway between flexion and extension

Question 7

Clothes pack position for cervical spine

Answer 7

Full extension

Question 8

Capsular pattern for cervical spine

Answer 8

Side flexion and rotation equally limited extension

side flex = rot > extension

Question 9

In the C-spine where do the superior articular facets sit?

Answer 9

Face upward backward and medially

Question 10

In the C-spine where do the inferior articular facets sit?

Answer 10

Face downward forward and laterally

Question 11

What is the percentage that the intravertebral disc makes up height of the cervical spine

Answer 11

Approximately 25%

Question 12

What is the degree of cervical lordosis

Answer 12

30° to 40°

Question 13

Warning signs of a serious cervical spine disorder

Answer 13

Fracture 
Neoplasm
infection 
neurogenic injury
Cervical myelopathy
Upper cervical ligamentous instability
vertebral artery insufficiency
Inflammatory or systemic disease

Question 14

What are the signs of headaches with a cervical origin

Answer 14

Occipital or sub occipital component to headache, neck movement alters headache, painful limitation of neck movements, abnormal head or neck posture, sub occipital or nuchal tenderness, abnormal mobility of C0-C1, sensory abnormalities in the occipital and suboccipital areas

Question 15

What is the Bakody’s sign

Answer 15

Is a special test that is usually indicative of problems in C4-C5 area, pain is relieved when hand or arm of the affected side is placed on top of the head

Question 16

What is drop attack?

Answer 16

It is when a person falls with no provocation while remaining conscious

Question 17

What should you observe when viewing the head & the neck in a postural situation?

Answer 17

Ear should be in line with the shoulder and the forehead be vertical.

Question 18

What happens with the Atlas and the axis and the intracervical region when craniocervical flexion occurs?

Answer 18

Occipital bone is in flexion and slides
The atlas bone flexes and pivots on the axis
C2 flexes and C2-C7 all slide

Question 19

What happens with the Atlas and the axis and the intracervical region when craniocervical extension occurs?

Answer 19

The occipital bone rolls and slides on atlas, The atlas pivots on the access, and C2 to C7 slide

Question 20

What happens with the Atlas and the axis and the intracervical region when craniocervical lateral flexion occurs?

Answer 20

The occipital bone roles on the Atlas,as lateral lateral flexion occurs, and from C2 to C7 slide occurs

Question 21

What happens with the Atlas and the axis and the intracervical region when craniocervical axial rotation occurs?

Answer 21

The atlas slides and the axis rotates and from C-2 to C7 slide and rotation occur

Question 22

What muscles are acting with forward flexion of the head

Answer 22

Rectus Capitis anterior 
rectus Capitis lateralis 
longest Capitis 
Hyoid muscles
Obliquus capitis superior
Sternocleidomastoid

Question 23

What muscles are acting with extension of the head

Answer 23

Splenius Capitis
Semispinalis Capitis
Longus sinus Capitis
Spinal is Capitis
Trapezius
Recuts Capitis pos min
Rectus capitis pos mj
Obliquus Capitis sup
Obliquus Capitis inf
Sternocleidomastoid

Question 24

Muscles involved in rotation of head (on the one side)

Answer 24

Trapezius 
splenius Capitis 
longissimus Capitis 
semispinalis Capitis 
Obliquus Capitis inferior sternocleidomastoid

Question 25

Muscles involved with side flexion of head

Answer 25

Trapezius 
Splenius Capitis
Longissimus Capitis 
Semipinalis Capitis 
Obliquus Capitis inf
Recuts Capitis Lateralis 
Longus capitis 
Sternocleidomastoid

Question 26

What muscles are involved with neck flexion

Answer 26

Longus colli
Ant. Med, Pos Scalen
Infrahyoid mm
Suprahyoid mm

Question 27

What is the Principal motion of C0-C1

Answer 27

flexion and extension 15° to 20°

Question 28

What does it mean when the mandible (jaw) curves to the left or right (c-curve) when opening ?

Answer 28

Meaning there is hypomobility toward the side of the deviation…may be caused by displaced disc, or unilateral muscle hypomobility.

Question 29

What does a S-curve or reverse S-curve indicate?

Answer 29

A muscular imbalance or medial displacement as condyle “walks around” the disc on affected side.
The chin will deviated toward the affected side b/c of spasm of pterygoid or masseter muscle or an obstruction.

Question 30

What does it mean when the deviation happens early in mouth opening?

Answer 30

Means it is caused by a muscle spasm

Question 31

What does it mean when the deviation happens late in mouth opening?

Answer 31

Means it’s caused by capsulitis or tight capsule.